Message from the Editor-in-Chief
This is a historic moment for PM&R. Volume 10, issue 12, wraps up our first decade of existence. In so many ways, PM&R has been a great success story: obtaining Index Medicus status at 6 months, first Impact Factor (IF) at year 4, highest IF to date in 2018 (1.850), steady increase in manuscript submissions, maintaining a healthy rejection rate, and providing unique and relevant article types simply not found in our competitor ’s journals. (Source: PM and R)
Source: PM and R - November 22, 2018 Category: Rehabilitation Authors: Stuart M. Weinstein Tags: Editor ’s Page Source Type: research

Final Episode (or Not)
I do not particularly enjoy farewells. Speeches. Letters. Parties. Even writing a “my time is over” editorial, like this one. Which probably explains why I am so fascinated by the topic of space. Space just never seems to end and that captures my imagination. You know, “Space, The Final Frontier. These are the voyages of the Starship Enterprise…etc., etc.” I have to adm it that I still watch on Netflix the re-run adventures of iconic Starship Captains Kirk, Picard, Sisko, Janeway, (and even Archer). (Source: PM and R)
Source: PM and R - November 22, 2018 Category: Rehabilitation Authors: Stuart M. Weinstein Tags: Editor ’s Corner Source Type: research

Control Mechanisms of Static and Dynamic Balance in Adults  With and Without Vestibular Dysfunction in Oculus Virtual Environments
Deficits in sensory integration and fear of falling in complex environments contribute to decreased participation of adults with vestibular disorders. With recent advances in virtual reality technology, head-mounted displays are affordable and allow manipulation of the environment to test postural responses to visual changes. (Source: PM and R)
Source: PM and R - November 1, 2018 Category: Rehabilitation Authors: Anat V. Lubetzky, Bryan D. Hujsak, Jennifer L. Kelly, Gene Fu, Ken Perlin Tags: Review: Virtual Rehabilitation Series Source Type: research

Barriers, Facilitators and Interventions to Support Virtual Reality Implementation in Rehabilitation: A Scoping Review
Virtual reality and active video games (VR/AVGs) are promising rehabilitation tools because of their potential to facilitate abundant, motivating, and feedback-rich practice. However, clinical adoption remains low despite a growing evidence base and the recent development of clinically accessible and rehabilitation-specific VR/AVG systems. Given clinicians ’ eagerness for resources to support VR/AVG use, a critical need exists for knowledge translation (KT) interventions to facilitate VR/AVG integration into clinical practice. (Source: PM and R)
Source: PM and R - November 1, 2018 Category: Rehabilitation Authors: Stephanie Miranda Nadine Glegg, Danielle Elaine Levac Tags: Review: Virtual Rehabilitation Series Source Type: research

PlayBionic: Game-Based Interventions to Encourage Patient Engagement and Performance in Prosthetic Motor Rehabilitation
Prosthetic motor rehabilitation usually relies on the highly repetitive training of movements. Patients might drop out of training because the rehabilitation process is long and often discouraging. Game-based interventions provide a potentially useful alternative to standard myoelectric (electromyographic [EMG]) training and can increase engagement with training. (Source: PM and R)
Source: PM and R - November 1, 2018 Category: Rehabilitation Authors: Cosima Prahm, Fares Kayali, Agnes Sturma, Oskar Aszmann Tags: Review: Virtual Rehabilitation Series Source Type: research

Three Epidural Steroid Techniques
A 32-year-old man presents to your clinic with 6-week onset of left-sided low back pain radiating down his left posterolateral leg to the top of his left foot. His symptoms include painful shooting electrical sensations, numbness and tingling, and mild weakness in raising his foot. His deep tendon reflexes are normal and he has a positive slump sit test result on the left lower extremity. His primary care physician prescribed gabapentin and a course of oral steroids (methylprednisolone), with minimal benefit. (Source: PM and R)
Source: PM and R - November 1, 2018 Category: Rehabilitation Authors: Zachary McCormick, George C. Chang Chien, Mary So, Resham Datta, Jaspal Ricky Singh Tags: Point/Counterpoint Source Type: research

Virtual Reality and Noninvasive Brain Stimulation in Stroke: How Effective Is Their Combination for Upper Limb Motor Improvement? —A Meta-Analysis
Efforts to augment post-stroke upper limb (UL) motor improvement include the use of newer interventions such as noninvasive brain stimulation (NIBS) and task practice in virtual reality environments (VEs). Despite increasing interest in using a combination of these 2 interventions, the effectiveness of this combination to enhance UL motor improvement outcomes has not been examined. (Source: PM and R)
Source: PM and R - November 1, 2018 Category: Rehabilitation Authors: Sandeep K. Subramanian, Shreya S. Prasanna Tags: Review: Virtual Rehabilitation Series Source Type: research

Editorial Board
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Source: PM and R - November 1, 2018 Category: Rehabilitation Source Type: research

Table of Contents
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Source: PM and R - November 1, 2018 Category: Rehabilitation Source Type: research

Academy News – November PM & R
As the primary medical society for the specialty of PM&R, your Academy is focused on moving the specialty and you forward. Our mission is to lead the advancement of physiatry ’s impact throughout health care. Your Academy will ensure that: (Source: PM and R)
Source: PM and R - November 1, 2018 Category: Rehabilitation Tags: Departments Source Type: research

Copyright Page
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Source: PM and R - November 1, 2018 Category: Rehabilitation Source Type: research

Spanish Translated Abstracts
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Source: PM and R - November 1, 2018 Category: Rehabilitation Tags: Translated Abstracts Source Type: research

Virtual Reality in Rehabilitation —Using Technology to Enhance Function
Virtual reality (VR) in rehabilitation capitalizes on rapidly evolving technologies to maximize function and quality of life. Virtual Reality Environments (VEs) have been suggested to be the closest human equivalent of enriched environments [1,2], which are known to be invaluable in promoting recovery, an idea first suggested in 1996 [3]. The use of VR allows designing personalized training environments combining elements such as practice intensity, variability, and task-specificity, in addition to motivation and feedback. (Source: PM and R)
Source: PM and R - November 1, 2018 Category: Rehabilitation Authors: Sandeep K. Subramanian Tags: Review: Virtual Rehabilitation Series Source Type: research

Cervical Medial Branch Block Volume Dependent Dispersion Patterns as a Predictor for Ablation Success: A Cadaveric Study
Neck pain is one of the most common causes of chronic pain and the fourth leading cause of disability worldwide; it is estimated that between 36% to 67% of this pain is due to facet arthropathy. For patients who have pain refractory to conservative treatments literature supports management with diagnostic cervical medial branch blocks (cMBBs) to identify the associated facet innervation as the source of pain followed by therapeutic radiofrequency ablation (RFA) of the identified nerves. Cervical RFA has good published outcomes, but the procedure is dependent upon the specificity of the diagnostic block to achieve maximal s...
Source: PM and R - October 24, 2018 Category: Rehabilitation Authors: Sayed E. Wahezi, Jocelin Jones Molina, Edward Alexeev, John S. Georgy, Nogah Haramati, Stephen A. Erosa, Jay M. Shah, Sherry Downie Source Type: research

Posterior Vertebral Endplate Fractures: A Retrospective Study on a Rare Etiology of Back Pain in Youth and Young Adults
Posterior lumbar vertebral endplate fracture occurs with avulsion of the ring apophysis from the posterior vertebral body. Although this has been described in adolescents and young adults, proper diagnosis is often delayed or missed entirely. Surgery may be curative. (Source: PM and R)
Source: PM and R - October 19, 2018 Category: Rehabilitation Authors: Erin M. Conlee, Sherilyn W. Driscoll, Krista A. Coleman Wood, Amy L. McIntosh, Mark L. Dekutoski, Joline E. Brandenburg Source Type: research